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Updated: Jun 16, 2026

Targeted Next-generation Sequencing and Bioinformatics Pipeline to Evaluate Genetic Determinants of Constitutional Disease
Published on: April 4, 2018
Worldwide distribution of PSEN1 Met146Leu mutation: a large variability for a founder mutation
A C Bruni1, L Bernardi, R Colao
1Centro Regionale di Neurogenetica, Azienda Sanitaria Provinciale Catanzaro, Viale A. Perugini, 88046 Lamezia Terme (CZ), Italy. bruni@arn.it
Global familial Alzheimer disease (FAD) families with the PSEN1 Met146Leu mutation share a common Southern Italian ancestor. This mutation causes varied early-onset FAD symptoms, including memory loss and frontal impairment.
Area of Science:
- Genetics
- Neurology
- Molecular Biology
Background:
- Familial Alzheimer disease (FAD) provides insights into clinical variability of presenilin 1 (PSEN1) mutations.
- Two Calabrian early-onset FAD (EOFAD) families with the PSEN1 Met146Leu mutation were identified, suggesting a common ancestral origin.
Observation:
- EOFAD Met146Leu families worldwide were traced to a single kindred originating from Southern Italy before the 17th century.
- Phenotypic variability at onset was broad, with four distinct clinical presentations observed in 50 patients.
Findings:
- The PSEN1 Met146Leu mutation is linked to a single, geographically widespread kindred.
- Clinical presentations included classic Alzheimer disease symptoms and frontal impairment, potentially linked to specific prefrontal cortex dysfunction.
Implications:
- The PSEN1 Met146Leu mutation's origin in Southern Italy highlights founder effects in EOFAD.
- Varied clinical presentations suggest differential cortical area involvement in early Alzheimer pathology.
- Despite phenotypic diversity, the underlying neurodegeneration is unequivocally Alzheimer's disease.
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